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Surgeon's notes

What is Hair Transplantation, Hair Replacement?

During hair transplantation the healthy hair roots will be
taken under a local anaesthesia by the specialists from
the upper part of the nape between the two ears which
have the characteristic un-shedding feature. This will
be separated into double or triple grafts, and
transplanted one-by-one to the bald area according
to the natural pattern or the hair, again under local
anaesthesia in an aesthetic way.

FUE (Follicular Unit Extraction)

It is taken from the hair roots one-by-one from the
hair-bearing skin with a special microsurgical equipments
by a team of specialists, without incision marks and
stitches. The hair (grafts) will be removed from the back
and side areas of the scalp and replaced to the bald
area on the scalp. Local anaesthesia will be used to the
donor and replacement areas.

This technique also allows the transplantation of the
breast, back and tummy hairs. These hair follicles will be
adapted to the hair characteristics of the transplanted
area in time, and they will be the same texture
(appearance) like the other hairs. With FUE technique
800 - 1500 grafts, in other words between 1800 and
3550 hair strands can be transplanted in one session,
when an intensive transplantation is necessary, the
sessions can be longer and the total operation will
take 2 - 3 days.

FUE technique must be used under the
following cases:

  • If there is not enough donor area.
  • If the patient wants to have very short hair
    in the future.
  • For the transplantation of small areas
    such as (small sized bald areas, little areas
    like scars…)

When the skin elasticity is too low, in other words
when the application of FUT (follicular unit
transplantation) is not possible and the scalp does not
allows to take flaps FUT (Follicular Unit

The hair roots on the nape will be taken as a strap
between the two ears, by calculating according to the
thickness of the hairs, the elasticity of the area, and
the size of the transplanted region in optimum level.
The procedure will be performed under local
anaesthesia. The donor area will be closed with
aesthetic stitches and the scare will hardly be visible.
The stitches will automatically dissolve and it is not
necessary to remove them.

In this method a section of bald flap is cut out and
removed the hairs will be separated into single, double,
triple or in some cases four or five grafts groups and
will be prepared for the replacement. The grafts will be
kept in a way that they will have minimum harm.

This procedure can quickly cover large areas of
baldness and is customized for each individual patient.
The size of the flap and its placement are largely
dependent upon the patient's goals and needs. One
flap can do the work of 350 or more punch grafts. A
section of bald scalp is cut out and a flap of hair-bearing
skin is lifted off the surface while still attached at one
end. The hair-bearing the flap is brought into its new
position and sewn into place, while remaining "tethered"
to its original blood supply. As you heal, you'll notice
that the scars are camouflaged-or at least obscured-by
the new hair, which grows to the very edge of
the incision.

The prepared grafts will be replaced into the line-formed
channels which have been opened with the lateral slit
techniques by using micro-pinsetters from a specialist
experienced team.

The opened thin channels are ideal and will not harm
the tissues, the surrounding areas will not be harmed it
is a advantage for creating the possibility for donor
areas, this method gives the intensive transplantation
possibility, fast growing and natural result very similar
to the natural appearance. However, if this method
applied incorrectly, it causes the patient to have an
unnatural baby-like hair or grass-man appearance.

Our preferred technique

Generally FUE (Follicular Unit Extraction) in which the
hair roots will be collected one by one will be used
because of its advantages. FUT (Follicular Unit
Transfer) technique (taking hair-and skin from the
nape in a scarp format) is not used often because of
its disadvantages like tonicity and pain on the nape and
half-moon formed, visible scars when the hair has been
cut very short. The transplantation procedure will be
performed with micro-techniques.(graft)

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